Post-Surgery Hernia Concerns: Pain, Healing, and When to Seek Help
Post-operative issues after hernia surgery? Hello, at the end of March, I went to the emergency room due to abdominal pain, and after traditional open surgery, it was discovered that I had a hernia (intestinal obstruction). It has been nearly two months since then. I would like t...
Dr. Xu Kaixi Reply:
Based on your description, you underwent traditional open abdominal surgery, which will leave a scar on the abdominal incision. The unevenness of your abdomen may be related to the scar tissue. Pain after abdominal surgery is often neuropathic in nature and typically improves ove...[Read More] Post-Surgery Hernia Concerns: Pain, Healing, and When to Seek Help
Understanding Left Lower Abdominal Pain: Causes and Concerns
Left lower abdominal tenderness? I have pain in my lower left abdomen near the sigmoid colon, close to the hip bone, when I press down hard. Normally, it doesn't hurt, but there is a dull sensation. There are no lumps when I touch it; it feels flat, but pressing down causes ...
Dr. Xu Kaixi Reply:
Based on the description you provided, it is not possible to determine if there is an issue. It is recommended to visit the outpatient clinic for further examination.[Read More] Understanding Left Lower Abdominal Pain: Causes and Concerns
Post-Appendectomy Recovery: Understanding Pain and Elevated White Blood Cell Count
Post-appendectomy Hello Dr. Hsu, I am from Hong Kong. After my examination on January 30, the doctor informed me that I had appendicitis and a rupture, with contaminated fluid in my abdomen. I was also told that I had colitis, and I underwent surgery at 3 PM that same day. After ...
Dr. Xu Kaixi Reply:
Based on the information you provided, the initial diagnosis of appendicitis and rupture, along with the surgical approach and postoperative care and recovery process, combined with ongoing gastrointestinal symptoms, wound pain, and a series of blood test results, indicate that y...[Read More] Post-Appendectomy Recovery: Understanding Pain and Elevated White Blood Cell Count
Understanding Peritonitis Treatment: Insights and Patient Experiences
Treatment of peritonitis? Hello Dr. Ke, I apologize for accidentally sending the message before finishing it last time. My mother has been on peritoneal dialysis for eleven years and is in good condition, having never experienced peritonitis. However, from mid-December to the end...
Dr. Ke Fangxu Reply:
Peritoneal dialysis is most concerned with peritoneal infection. It has now been decided to switch to hemodialysis and remove the peritoneal catheter. Following this, antibiotic treatment will be based on the results of bacterial cultures, which is the correct approach. As long a...[Read More] Understanding Peritonitis Treatment: Insights and Patient Experiences
Understanding Peritoneal Dialysis Complications: A Three-Month Hospital Journey
Hospitalized for three months due to peritonitis? Hello Dr. Ke, my mother has been on peritoneal dialysis for eleven years and her condition has been stable without any episodes of peritonitis. However, from mid-December to the end of December last year, she experienced difficult...
Dr. Ke Fangxu Reply:
Due to the incomplete nature of your inquiry, we are currently unable to provide you with a response. If needed, please feel free to ask again and present your question in full detail. Thank you![Read More] Understanding Peritoneal Dialysis Complications: A Three-Month Hospital Journey
Understanding Lower Abdominal and Anal Pain: Causes and Solutions
Lower abdominal pain with anal pain? Hello Dr. Ko, a few days ago, shortly after lunch, I experienced severe abdominal pain and had difficulty having a bowel movement. The pain was intense enough to make me feel dizzy. After a while, I vomited, and afterward, I felt somewhat bett...
Dr. Ke Fangxu Reply:
Postprandial abdominal pain should raise the suspicion of peptic ulcer disease, and it is advisable to undergo an upper gastrointestinal endoscopy. Anal pain with thinner stools in young individuals is often related to hemorrhoids or anal fissures. Is there any history of constip...[Read More] Understanding Lower Abdominal and Anal Pain: Causes and Solutions
Understanding Constipation: Causes, Symptoms, and Solutions
Constipation I used to have regular bowel movements every day, but recently my stools have become hard and pellet-like. I eat plenty of fruits, vegetables, and drink water daily, yet the situation hasn't improved. I can feel a firm, tubular mass on the left side of my abdome...
Dr. Ke Fangxu Reply:
Hello: Severe constipation can lead to left lower abdominal pain, and sometimes a hard mass can be felt, which is due to fecal matter accumulating in the sigmoid colon. If your daily routine and dietary habits are normal, you may need to rely on stool softeners to assist with bow...[Read More] Understanding Constipation: Causes, Symptoms, and Solutions
Post-Appendicitis Concerns: Bubbles in Urine After Peritonitis Surgery
Bubbles in urine after peritonitis? I apologize for bothering you again, Director Ke. Initially, I had appendicitis which progressed to peritonitis, requiring an emergency surgery where a 19 cm incision was made in my abdomen, along with another incision for a drainage tube. The ...
Dr. Ke Fangxu Reply:
Hello: The appendix is located in the lower right quadrant of the abdominal cavity. If it becomes inflamed and ruptures, pus can flow down to the lowest part of the abdominal cavity, which is the pelvis. This is a completely reasonable process and can lead to the formation of a c...[Read More] Post-Appendicitis Concerns: Bubbles in Urine After Peritonitis Surgery
Post-Operative Care and Concerns After Appendicitis Surgery
Post-operative care after peritonitis surgery? My mother underwent surgery for peritonitis and had a drainage tube inserted postoperatively. However, the surgeon mentioned that there are still some contaminants inside, so they decided not to close the incision for now. They plan ...
Dr. Ke Fangxu Reply:
Hello: In response to your questions. 1. Peritonitis refers to inflammation caused by infection within the abdominal cavity. Therefore, wounds may also become inflamed due to infection. In severe cases, treatment may involve open wound management, waiting for the wound to be cl...[Read More] Post-Operative Care and Concerns After Appendicitis Surgery
Is My Post-Surgery Abdominal Discomfort a Sign of Adhesions?
Could this symptom be intestinal adhesions? Hello, doctors on the forum: In mid-September of this year, I went to the emergency room due to acute appendicitis. After examination, the doctor informed me that it was appendicitis (blood tests/CT scans, etc.) and that I could either ...
Dr. Ke Fangxu Reply:
1. After appendectomy, it is common to experience mild abdominal symptoms, which are often related to the degree of inflammation and whether the appendix has ruptured, rather than adhesions. However, these symptoms typically resolve within 1 to 2 months. If symptoms persist or if...[Read More] Is My Post-Surgery Abdominal Discomfort a Sign of Adhesions?
Understanding Black Stool: When to Seek Medical Attention
After having a bowel movement, the water appears to be a dark color? Today I had three bowel movements. The first two were loose stools, but the third one really scared me. When I got up and looked in the toilet, the water was completely black, and there were dark green stools in...
Dr. Ke Fangxu Reply:
If you have already undergone both gastroscopy and colonoscopy, there is likely not much to worry about. Abnormal stool patterns are often related to diet; if you have consumed darker or more irritating foods in the past few days, this could reflect in your stool. Additionally, s...[Read More] Understanding Black Stool: When to Seek Medical Attention
Post-Operative Care for Peritonitis: Understanding Complications and Recovery
Postoperative care for peritonitis? 1) The mother visited the oral surgery department on August 6 due to an ulcer in her mouth. The physician administered a Rinderon intramuscular injection and prescribed a second-line antibiotic. Is there any correlation between this treatment a...
Dr. Ke Fangxu Reply:
Hello: Due to the insufficient information provided by netizens and the need for family members to communicate with the attending physician if they have questions about the patient's condition, I will only provide general responses here. 1. Gastric perforation in the elder...[Read More] Post-Operative Care for Peritonitis: Understanding Complications and Recovery
Understanding Persistent Diarrhea: Insights into Colitis and Digestive Health
Persistent loose stools? This summer, on July 13, I suddenly developed a fever and diarrhea (without pain). After that, I continued to have diarrhea (I consulted a doctor at a clinic). Around July 23, I was referred to Taipei Veterans General Hospital for further evaluation, wher...
Dr. Ke Fangxu Reply:
Hello: If the Veterans General Hospital performed a complete colonoscopy and reported no issues, then there should be no need for excessive worry. However, the change in diagnosis from irritable bowel syndrome (IBS) to ulcerative colitis should be clarified with your physician. I...[Read More] Understanding Persistent Diarrhea: Insights into Colitis and Digestive Health
Understanding Left Abdominal Discomfort: Causes and Solutions
Discomfort in the left abdominal area? Hello, Dr. Ke. I have a few questions. Recently, I've been experiencing discomfort in my left abdomen (which I haven't had before). Sometimes, I feel relief after passing gas. A while ago, I had a sudden sharp pain and thought it m...
Dr. Ke Fangxu Reply:
Hello: In response to your questions: 1. Generally, having bowel movements anywhere from three times a day to once every three days is not considered abnormal, as long as it does not affect daily life or cause physical symptoms, and it is not related to nutrient absorption. 2. Di...[Read More] Understanding Left Abdominal Discomfort: Causes and Solutions
Blood in Stool: Should You Worry About Colon Cancer or Hemorrhoids?
Blood in the stool? Hello, doctor. This afternoon at 4 PM, I experienced abdominal pain, and after having a bowel movement (the color and shape were normal), the pain subsided. At 8 PM, I felt the urge to have another bowel movement, and my abdomen was slightly painful again. Dur...
Dr. Ke Fangxu Reply:
Hello: In response to your question, the likelihood of developing colorectal cancer at the age of 28 is relatively low. It is generally advised to observe for a few days; if there is no further bleeding, it should be fine. However, if bleeding persists, you should seek medical at...[Read More] Blood in Stool: Should You Worry About Colon Cancer or Hemorrhoids?
Post-Surgery Concerns: Yellow Discharge from Belly Button After Showering
Postoperative complications I would like to ask the doctor, during my hospitalization, everything was normal. After being discharged for 4 days, I visited the outpatient clinic and the doctor said it was okay to shower and get the area wet. After I showered, I noticed that the sc...
Dr. Zai Yunsheng Reply:
Dear Sir/Madam: You may have a wound infection. Please return to the hospital where you had the surgery for evaluation. Thank you.[Read More] Post-Surgery Concerns: Yellow Discharge from Belly Button After Showering
Differentiating Between Sebaceous Cysts and Lipomas: Key Insights
The difference between sebaceous cysts and lipomas..? Hello doctor, I have small bumps, about a few millimeters in size, located in the upper abdomen near the lower chest area, which have been present for several years. Recently, I found out that my brother has a similar conditio...
Dr. Ke Fangxu Reply:
The exact nature of the lesions can only be accurately determined through a physician's palpation. However, these palpable skin lesions are mostly benign tumors. If there is no significant discomfort or abnormal enlargement, treatment is generally not necessary. Typically, t...[Read More] Differentiating Between Sebaceous Cysts and Lipomas: Key Insights
Post-Operative Care for Peritonitis: Recovery Tips and Dietary Restrictions
Peritonitis-related issues? Hello, regarding a patient who underwent surgery for peritonitis caused by a gastric ulcer and was discharged 40 days post-operation, how long should they wait before climbing stairs or walking on hilly terrain? What dietary restrictions should be obse...
Dr. Ke Fangxu Reply:
After surgery for perforated gastric ulcer complicated by peritonitis, vigorous exercise should be avoided, but normal activities such as climbing stairs and walking on hilly terrain are acceptable. Running and hiking should be avoided. There are no specific dietary restrictions,...[Read More] Post-Operative Care for Peritonitis: Recovery Tips and Dietary Restrictions
Understanding Blood in Stool: IBS, Hemorrhoids, or Colorectal Cancer?
Blood in stool / Irritable bowel syndrome / Internal hemorrhoids / Colorectal cancer / Colitis? Dear Doctor, I have been very worried about my condition, so I am writing in detail and hope you can patiently read through it. Thank you! Over the past few months, I have experienced...
Dr. Ke Fangxu Reply:
Indeed, young people have a lower probability of developing colorectal cancer, and ulcerative colitis is more common among younger individuals. However, what you may not know is that the incidence of ulcerative colitis is significantly lower than that of colorectal cancer in East...[Read More] Understanding Blood in Stool: IBS, Hemorrhoids, or Colorectal Cancer?
Understanding Tubulovillous Adenoma: Post-Polypectomy Concerns and Follow-Up
Sigmoid colon polyp Hello, Dr. Ke! A month ago, I had a colonoscopy during which a polyp located 45 cm from the anus in the sigmoid colon was removed. The pathology report indicated a tubulovillous adenoma measuring 0.6 x 0.6 x 0.4 cm. The doctor mentioned it is a benign tumor. M...
Dr. Ke Fangxu Reply:
Tubulovillous adenoma is a type of benign polyp. Although its differentiation status is relatively active, it is not classified as a malignant tumor. It is recommended to undergo a colonoscopy once a year. 2. After the removal of a pedunculated polyp, as long as the resection m...[Read More] Understanding Tubulovillous Adenoma: Post-Polypectomy Concerns and Follow-Up